The Rounds Table

Send us Fan Mail It’s diabetes week on The Rounds Table. Mike Fralick and Kieran Quinn are back with the latest evidence in another Rapid Fire episode: four articles covered instead of the usual two. Canagliflozin has an impressive cardiovascular benefit profile for patients with a high burden of cardiovascular disease, based on data from randomized control trials. Mike ... The post Sugar Coating...

Send us Fan Mail This week on The Rounds Table we are covering new evidence on two important topics: migraine and risk of cardiovascular disease, and a clinical decision rule for Emergency Department transfer of older individuals who have sustained a fall. Laura Walker and Kieran Quinn highlight the key points for listeners. Migraines are a very common primary ... The post Clear Mind, Clear Body:...

Send us Fan Mail This week on The Rounds Table we are following up on the prevalence of PE in syncope and reviewing the evidence on corticosteroids for pneumonia. Ariel Lefkowitz and Kieran Quinn break down these two important articles for listeners. Do you routinely prescribe steroids in pneumonia? Ariel shares a Cochrane review which covers the literature to ... The post Just Breathe: Prevalence...

Send us Fan Mail This week on The Rounds Table Kieran Quinn and Paxton Bach are covering two important articles: catheter ablation for atrial fibrillation with heart failure and the association between myocardial infarction (MI) and influenza. It is common for atrial fibrillation and CHF to co-exist in patients. Yet, optimal management of these co-existing conditions has yet to ... The post King o...

Send us Fan Mail This week on The Rounds Table we are covering two important studies: diagnostic management of pulmonary embolism and safety of varying the frequency of whole blood donation. Kieran Quinn and Lauren Lacroix break it down for listeners. Pulmonary embolism represents a diagnostic challenge in the Emergency Department for patients presenting with a variety of symptoms ... The post REP...

Send us Fan Mail This week on The Rounds Table we are covering two important research articles: prevention of contrast induced nephropathy, and comparing post-operative outcomes between patients treated by male and female surgeons. Contrast induced nephropathy (CIN) is a potentially severe complication of angiographic procedures, especially for people with poor renal function at the outset. Preven...

Send us Fan Mail This week on The Rounds Table Kieran and Mike are back with another rapid fire episode: just the salient points from four articles instead of two. Guidelines recommend the use of hydrocortisone in patients with septic shock if adequate fluid resuscitation and treatment with vasopressors does not restore hemodynamic stability; however, current guidelines classify this ... The post...

Send us Fan Mail This week on The Rounds Table we are examining two important studies: the first looking at an association between wait times for hip fracture surgery and mortality, and the second examining clinician denials of patient requests. Hip fractures are a relatively common injury among our aging population. As our elderly population increases, hip fractures are ... The post Too Much to A...

Send us Fan Mail This week on The Rounds Table we are covering two important articles: the first examining combination opioids versus non-opiods for acute pain, and the second examining the use of edoxaban to treat cancer-associated venous thromboembolism (VTE). Kieran Quinn and Paxton Bach break it down for listeners. Opioid addiction is arguably the biggest epidemic of our ... The post Choosing...

Send us Fan Mail This week on The Rounds Table we are trying something different as our first new episode of 2018: just the salient points from FOUR articles instead of two! Same time spent listening, twice the take-away! Mike and Kieran break it down for listeners. Novel oral anticoagulants (NOACs) are everywhere, and they can put patients at ... The post Fire Away! Choosing the Right NOAC &...

Send us Fan Mail What’s healthier, a diet high in fat or high in carbohydrates? How can the HEART score be used to stratify patients who present to the Emergency Department with chest pain? Kieran Quinn and Ashley Minuk cover the answers from the findings of two exciting new articles. With the growing burden of cardiovascular and diet related ... The post REPLAY: PURE at HEART – Fats vs. Carbohydr...

Send us Fan Mail This week on The Rounds Table we’re covering important studies on two very common diseases: osteoporosis and heart failure. Kieran and Laura break it down for listeners. Osteoporosis affects women worldwide, and will become more common because of our aging population. Although several pharmacologic treatments exist to treat the disease, few head to head studies ... The post REPLAY...

Send us Fan Mail This week on The Rounds Table we’re covering important studies in palliative care: treatment of delirium at end-of-life, and examining populations who may be more likely than others to receive aggressive end-of-life care. Kieran and Chris Yarnell break it down for listeners. Sheliza and Emily round out the episode with a special segment on qualitative ... The post REPLAY: To Treat...

Send us Fan Mail This week on The Rounds Table we are covering two important research articles: prevention of contrast induced nephropathy, and comparing post-operative outcomes between patients treated by male and female surgeons. Contrast induced nephropathy (CIN) is a potentially severe complication of angiographic procedures, especially for people with poor renal function at the outset. Preven...

Send us Fan Mail This week on The Rounds Table we’re looking at the big picture: the effect of bedspacing on mortality and factors associated with increased healthcare spending. Laura and Kieran cover two new articles. Bedspacing is something that everyone in Internal Medicine encounters at some point. The concept is really this: when General Internal Medicine wards become ... The post Dollar Drea...

Send us Fan Mail On this week’s episode of The Rounds Table we’re honing in on important advances in cardiovascular disease management. Kieran Quinn and Paxton Bach guide listeners through the ORBITA and INPRESS trials. It’s one of those deceptively simple sounding questions in cardiology: who should we stent? Although PCI has been around for 40 years, we are ... The post Get Pumped: Perioperative...

Send us Fan Mail This week’s episode of The Rounds Table is all about anticoagulation. Kieran Quinn and Mike Fralick cover two important studies: the latest evidence on antithrombotic therapy after percutaneous coronary intervention (PCI) and de-escalation of antiplatelet treatment in patients with acute coronary syndrome undergoing PCI. In patients with acute coronary syndrome undergoing PCI, can...

Send us Fan Mail This week on The Rounds Table we are covering two important studies: diagnostic management of pulmonary embolism and safety of varying the frequency of whole blood donation. Kieran Quinn and Lauren Lacroix break it down for listeners. Pulmonary embolism represents a diagnostic challenge in the Emergency Department for patients presenting with a variety of symptoms ... The post Blo...

Send us Fan Mail Each year, the Canadian Society for Internal Medicine (CSIM) Annual Meeting features a presentation of the “Top 5 Papers” in internal medicine. From the papers that had been discussed on The Rounds Table between November 2016 and October 2017, we selected 5 that we felt were particularly influential and presented them as the “Top 5 ... The post Top 5 Papers (Part 2): Challenging A...

Send us Fan Mail Each year, the Canadian Society for Internal Medicine (CSIM) Annual Meeting features a presentation of the “Top 5 Papers” in internal medicine. From the papers that had been discussed on The Rounds Table between November 2016 and October 2017, we selected 5 that we felt were particularly influential and presented them as the “Top 5 ... The post Top 5 Papers (Part 1): PFO Closure o...

Send us Fan Mail This week on The Rounds Table we’re covering important studies in palliative care: treatment of delirium at end-of-life, and examining populations who may be more likely than others to receive aggressive end-of-life care. Kieran and Chris Yarnell break it down for listeners. Sheliza and Emily round out the episode with a special segment on qualitative ... The post To Treat or Not...

Send us Fan Mail What if you could tell an adult with physician diagnosed asthma that they could safely stop their asthma medications? Or, tell an adult living with chronic obstructive pulmonary disease (COPD) that the addition of home non-invasive ventilation could significantly prolong their lifespan? This week on The Rounds Table Kieran and Ariel discuss two thought provoking ... The post Take...

Send us Fan Mail This week on The Rounds Table we’re covering important studies on two very common diseases: osteoporosis and heart failure. Kieran and Laura break it down for listeners. Osteoporosis affects women worldwide, and will become more common because of our aging population. Although several pharmacologic treatments exist to treat the disease, few head to head studies ... The post Don’t...

Send us Fan Mail A stroke of insight this week on The Rounds Table; Kieran and Mike share the findings of two exciting new studies. Should a patent foramen ovale (PFO) be closed in the context of cryptogenic stroke? What is the impact of educational intervention surrounding anticoagulation in patients with atrial fibrillation? Listen as Kieran and Mike cover ... The post A Stroke of Insight: PFO C...

Send us Fan Mail What’s healthier, a diet high in fat or high in carbohydrates? How can the HEART score be used to stratify patients who present to the Emergency Department with chest pain? Kieran Quinn and Ashley Minuk cover the answers from the findings of two exciting new articles. With the growing burden of cardiovascular and diet related ... The post PURE at HEART: Fats vs. Carbohydrates as R...